Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas J Petrosino

Individual provider Psychiatry Physician · NPI 1265056451

Nicholas J Petrosino is a Psychiatry in South Burlington, Vermont. Qualified in 2020, 6 years ago. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2020
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Practice location Address checks out

595 Dorset St
South Burlington, VT 05403-6240
Phone: (802) 489-5552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence LP05015 (RI)

Record details

NPI number1265056451
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2020
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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